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Suicidal tendency, physical health problems and addictive behaviours among general practitioners: their relationship with burnout

机译：全科医生的自杀倾向，身体健康问题和成瘾行为：与倦怠的关系

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The aim of this article is to analyse further the association of burnout with (poor) physical health, addictive behaviours and suicidal tendency among general practitioners (GPs). Four hypotheses were studied: (H1): burnout (i.e. emotional exhaustion, EE, and depersonalization, DP) will be positively associated with suicidal tendency; (H2): will be negatively related to physical health (i.e. large number of physical symptoms and long-lasting impairment); and (H3): positively linked to addictive behaviours (i.e. addiction to alcohol and psychotropic medication) of GPs. Based on the spiral of losses depicted by the conservation of resources theory, we also considered whether physical health mediates the relationships of burnout/suicidal tendency and burnout/addictive behaviours (H4). 1890 French GPs completed a questionnaire administered by phone. Information was collected on burnout, three physical health indicators (BMI, number of physical symptoms and lasting physical health problems), four health behaviours (consumption of tobacco, alcohol, anxiolytics and antidepressants) and suicidal tendency (ideation, plan and attempt). Concerning EE, the results supported the hypotheses, except for alcohol consumption. However, the findings showed that DP was associated with more positive outcomes when controlling for exhaustion. The difference in findings for EE and DP are discussed, together with the need for GPs to develop strategies for resilience.
机译：本文的目的是进一步分析全科医生（GP）中的倦怠与（不良）身体健康，成瘾行为和自杀倾向的关联。研究了四个假设：（H1）：倦怠（即情绪疲惫，EE和去人格化，DP）与自杀倾向呈正相关； （H2）：与身体健康（例如大量身体症状和长期伤害）负相关； （H3）：与GP的成瘾行为（即成瘾的酒精和精神药物）成正比。基于资源节约理论所描绘的损失螺旋式上升，我们还考虑了身体健康是否介导了倦怠/自杀倾向与倦怠/成瘾行为之间的关系（H4）。 1890年，法国全科医生完成了电话调查表。收集了以下信息：倦怠，三个身体健康指标（BMI，身体症状的数量和持久的身体健康问题），四个健康行为（烟草，酒精，抗焦虑药和抗抑郁药的消费）和自杀倾向（意识，计划和尝试）。关于EE，除饮酒外，结果均支持假设。但是，研究结果表明，控制精疲力竭时，DP与更积极的结果相关。讨论了EE和DP的发现差异，以及GP制定弹性策略的需求。

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